Individual
PHONG TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 PAMPLICO HWY, FLORENCE, SC 29505-6051
(843) 292-1505
Mailing address
500 PAMPLICO HWY, FLORENCE, SC 29505-6051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
028193
GA
183500000X
Pharmacist
Primary
35822
SC
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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